The Hannover Fracture Scale '98 is an update to the Hannover Fracture Scale that was developed in 1983. It is a simpler instrument yet reliable measure of limb salvage. The authors are from Medizinische Hochschule Hannover.
Parameters:
(1) extent of fracture bone loss
(2) skin injury as percent of limb circumference
(3) muscle injury as percent of limb circumference
(4) wound contamination
(5) deperiostation
(6) local circulation
(7) systolic blood pressure (systemic circulation)
(8) neurologic findings
Parameter |
Finding |
Points |
---|---|---|
extent of bone loss |
none |
0 |
|
0.1 to 1.9 cm |
1 |
|
>= 2.0 cm |
2 |
skin injury |
none |
0 |
|
1 - 24% of circumference |
1 |
|
25 - 50% of circumference |
2 |
|
51 - 75% of circumference |
3 |
|
76 - 100% of circumference |
4 |
muscle injury |
none |
0 |
|
1 - 24% of circumference |
1 |
|
25 - 50% of circumference |
2 |
|
51 - 75% of circumference |
3 |
|
76 - 100% of circumference |
4 |
wound contamination |
none |
0 |
|
partial |
1 |
|
massive |
2 |
deperiostation |
no |
0 |
|
yes |
1 |
local circulation |
normal |
0 |
|
capillary pulse |
1 |
|
ischemia < 4 hours |
2 |
|
ischemia 4 to 8 hours |
3 |
|
ischemia > 8 hours |
4 |
systolic blood pressure |
constantly > 100 mm Hg |
0 |
|
< 100 until admission |
1 |
|
< 100 until surgery |
2 |
|
constantly < 100 mm Hg |
3 |
palmar-plantar sensibility |
yes |
0 |
|
no |
1 |
finger-toe active motion |
yes |
0 |
|
no |
1 |
total score =
= SUM(points for all 8 parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
• The higher the score the worse the injury.
• A score >= 11 indicates significant trauma, with amputation recommended.
Performance:
• The sensitivity was 82% and specificity 99%.
Purpose: To evaluate a patient with significant limb trauma using the Hannover Fracture Scale '98 of Krettek et al.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
Objective: severity, prognosis, stage, complications, disability and performance, prevention, surgery
ICD-10: T10, T12,